CMS Price Transparency Data

Prosthetic fitting and training

Facility: Munson Healthcare Grayling Hospital

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97761
  • Insurance Median: $71
  • Cash Discount Price: $115
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Prosthetic fitting and training at Munson Healthcare Grayling Hospital is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $115. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.76x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.
Cash / Self-Pay
$115

Average discount available for prompt cash payment at this facility.

Insurance Median
$71

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)
Cash / Self-Pay: $115 (285%)
Insurance Median: $71 (176%)
Cash: $115 (285% of Medicare)
Ins. Median: $71 (176% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $20 - $121 49%
Mclaren Health Plan $20 - $85 49%
Meridian $20 49%
Molina $20 - $42 49%
Priority Health $20 - $85 49%
UnitedHealthcare $20 - $91 49%
Aetna $34 - $115 84%
Cofinity $34 - $119 84%
Atrium King Centre Skilled Nursing Services $38 94%
Blue Care Network $38 94%
Hap (Health Alliance Plan) $38 - $122 94%
Humana $38 94%
Medicare (plans) $38 94%
Michigan Amish Medical Board $38 - $44 94%
Northern Michigan Mennonite Group $38 94%
Promedica $38 94%
Wellcare (Meridian) $38 94%
Wellspring Lutheran Services Skilling Nursing Services $38 94%
Provider Network Of America Group Health $54 - $129 134%
Asr/Physicians Care $58 - $122 144%
Nomi Health $61 - $122 151%
Employee Benefits Logistics $65 161%
Cigna $71 - $85 176%
Hospice Of Michigan $71 - $91 176%
Munson Hospice $83 - $852 205%
Medical Cost Savings Solution $95 - $122 235%
The Robbins Group And Regency Employee Benefits $95 - $122 235%
Wds Enterprise Group Planning $95 - $122 235%
First Health/Coventry Network $101 - $129 250%
Three Rivers Provider Network $101 - $129 250%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 E Michigan Ave, Grayling, MI 49738
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals